Miller, Kenneth
Miller, Kenneth is an individual health care provider with primary practice located at 21297 Olean Blvd Ste A , Port Charlotte FL 33952-6704. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Kenneth can be contacted via phone (855) 979-5700.Contact Information
Primary practice address
21297 Olean Blvd Ste A
Port Charlotte FL 33952-6704
Phone: (855) 979-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00002039 | Florida |
Profile Details
| NPI number | 1891740015 |
|---|---|
| LBN Legal business name | Miller, Kenneth |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Dec 2nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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